Individual
JEFFREY K NEKOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7489 HUNTSMAN BLVD, SPRINGFIELD, VA 22153-1648
(571) 642-1460
(703) 440-1203
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101051129
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134154065
—
VA
Enumeration date
07/11/2006
Last updated
11/30/2022
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